ATI RENAL CALCULI Flashcard.

A nurse is completing the admission assessment of a client who has renal calculi. Which of the following findings should the nurse expect? a. bradycardia b. diaphoresis c. nocturia d. bradypnea - B. diaphoresis A nurse is reviewing discharge instructions with a client who had spontaneous passage of calcium phosphate renal calculus. Which of the following instructions should the nurse include in the teaching? (select all that apply) a. limit intake of food high in animal protein b. reduce sodium intake c. strain urine for 48 hours d. report burning with urination to the provider e. increase fluid intake to 3L/day - a. limit intake of food high in animal protein b. reduce sodium intake d. report burning with urination to the provider e. increase fluid intake to 3L/day A: The client should limit the intake of food high in animal protein, which contains calcium phosphate B: the client should limit intake of sodium, which affects the precipitation of calcium phosphate in the urine D: the client should report burning with urination to the provider because this can indicate a urinary tract infection. E: the client should increase fluid intake to 2 to 3L/day. A decrease in fluid intake can cause dehydration, which increases risk of calculi formation A nurse is teaching a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which of the following statements by the client indicates understanding of the teaching? a. "I will be fully awake during the procedure" b. "lithotripsy will reduce my chances of having stones in the future" c. "I will report any bruising that occurs to my doctor" d. "Straining my urine following the procedure is important" - d. "Straining my urine following the procedure is important" D: A client is instructed to strain urine following lithotripsy to verify that the calculi have passed A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the following assessment findings is the priority for the nurse to report to the provider?